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A Pilot Randomised Controlled Trial to Increase the Sustainment of an Indoor–Outdoor-Free-Play Program in Early Childhood Education and Care Services

A Study Protocol for the Sustaining Play, Sustaining Health (SPSH) Trial

Bibliographic Data

ID15512800
AuthorsNoor Imad (0000-0002-0625-2407, Deakin University, corresponding author), Nicole Pearson (0000-0003-2677-2327, Hunter Medical Research Institute), Alix Ivers (0000-0002-1043-6110, Hunter Medical Research Institute), Adam Shoesmith (0000-0002-3105-8833, Hunter Medical Research Institute), Nicole Nathan (0000-0002-7726-1714, Hunter Medical Research Institute), Luke Giles (0000-0002-6849-9325, Hunter New England Local Health District), Alice Grady (0000-0003-3379-5340, Hunter Medical Research Institute), Serene Yoong (0000-0002-0836-017X, Deakin University)
Year2023
Volume20
Issue6
Pages5043-5043
Publication date2023-03-13
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph20065043
PMID36981955
OpenAlexW4324056840
LanguageEN
Citations received1
References cited64

Early Childhood Education and Care (ECEC) settings are important environments to support children's physical activity (PA). In 2021, COVID-19 regulations recommended the provision of indoor-outdoor free-play programs in ECEC settings to reduce the transmission of COVID-19, resulting in an increased uptake of this practice. As the context has since changed, research suggests that ECEC services could cease the implementation of these practices. Therefore, this pilot randomised controlled trial (RCT) aims to examine the feasibility, acceptability, and impact of a sustainment strategy to ensure the ongoing implementation (sustainment) of ECEC-delivered indoor-outdoor free-play programs. Twenty ECEC services located in New South Wales, Australia that have implemented indoor-outdoor free-play programs since the release of COVID-19 guidelines will be recruited. The services will be randomly allocated either the sustainment strategy or usual care. The "Sustaining Play, Sustaining Health" program consists of eight strategies, developed to address key barriers against and facilitators of sustainment informed by the Integrated Sustainability Framework. The outcomes will be assessed via internal project records, staff surveys, and a self-reported measure of free play. This study will provide important data to support the performance of a fully powered trial within Australian ECEC settings and to inform the development of future sustainment strategies

Business · Context (archaeology · Early childhood · Early childhood education · Environmental health · Geography · Health care · Medical education · Pedagogy · Political science · Randomized controlled trial · Sustainability · Children's Physical and Motor Development · Infant Development and Preterm Care · Medicine · Nursing · Obesity, Physical Activity, Diet · Psychology

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Citations per year1
Citation span2025 - 2025 (1)
Highly citedNo

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